空心拉力螺钉张力带钢丝治疗髌骨骨折的临床疗效分析  

Analysis of the curative effect of Cannulated compression screws combined with tension band wire for patellar Fracture

作　　者：郭昊宇[1] 尹芸生[1] 闻伟敬[1] 陈波[1] 

机构地区：[1]山西医科大学第二临床医院骨科创伤组,太原030001

出　　处：《中国医疗前沿》2011年第8期48-49,73,共3页China Healthcare Innovation

摘　　要：目的探讨空心拉力螺钉张力带钢丝内固定治疗髌骨骨折的临床疗效。方法 2006年9月～2008年8月采用空心拉力螺钉张力带钢丝固定治疗23例髌骨骨折,其中横形骨折12例,大块粉碎性骨折8例,斜行骨折2例,纵形骨折1例;均为闭合性骨折。结果术后随访4～12个月全部患者均获得临床愈合,骨折平均临床愈合时间为8～10周。采用胥少汀等制定的疗效标准,优17例,良5例,中1例。结论空心拉力螺钉张力带治疗髌骨骨折优良率95.6%,与传统克氏针张力带钢丝内固定相比在治疗髌骨横行骨折和大块髌骨粉碎性骨折上有明显的优势;且具有很强的生物力学优势、并允许膝关节早期活动、促进骨折愈合、预防膝关节僵直,值得临床推广。Objective To observe the curative effect of internal fixation of patellar fracture by cannulated compression screws combined with tension band wire.Methods From September 2006 to august 2008,23 cases of patellar fracture treated with cannulated compression screws combined with circumferential loop and tension band wire were enrolled at the second hospital of shanxi medical University.There were 12 cases of transverse fracture,8 cases of comminuted fracture,and all cases were closed fracture.Results Totally 23 cases were followed-up.Follow-up period was 4 months to 12 months.The Fractures healed 8-10 weeks after operation.Xu Shao-ting,etc.used to develop the efficacy criteria,excellent in 17 cases,good in 5 cases,middle 1 case.Conclusion This study demonstrates that internal fixation with hollowed bolts and tension band for the treatment of patella fracture with excellent rate of 95.6%.which is an effective technique for transverse fracture and comminuted fracture of patella;and has a strong bio-mechanics advantage,allow early knee joint activities to promote fracture healing,prevention of knee stiffness,worthy to be popularized.

关 键 词：髌骨 骨折 空心拉力螺钉 

分 类 号：R683.42[医药卫生—骨科学]